Document Results List
Documents |
|
Adult Psychiatry - Physician Referral Form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Adult Psychiatry - Physician Referral Form
|
|
Date:
|
Friday, July 17, 2015
|
|
|
|
|
Summary:
|
Adult Psychiatry (Oshawa)- Physician Referral Form
|
|
|
|
|
|
Adult Psychiatry (Ajax Pickering) - Physician Referral Form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Adult Psychiatry (Ajax Pickering) - Physician Referral Form
|
|
Date:
|
Tuesday, October 24, 2017
|
|
|
|
|
Summary:
|
Outpatient Mental Health Referral Form - Specific to Ajax Pickering
|
|
|
|
|
|
Blood Transfusion Fact Sheet Form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Blood Transfusion Fact Sheet Form
|
|
Date:
|
Wednesday, November 01, 2017
|
|
|
|
|
Summary:
|
Blood Transfusion Fact Sheet Form
|
|
|
|
|
|
Breast Assessment Referral Form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Breast Assessment Referral Form
|
|
Date:
|
Tuesday, June 28, 2016
|
|
|
|
|
Summary:
|
This form is for patients being referred to the Breast Assessment Program
|
|
|
|
|
|
Cardiac CT Requisition - Specific to Ajax Pickering
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Cardiac CT Requisition - Specific to Ajax Pickering
|
|
Date:
|
Tuesday, October 03, 2017
|
|
|
|
|
Summary:
|
Cardiac CT Requisition 2108AP
|
|
|
|
|
|
Cardiac Diagnostics Referral form (REFAP0010)
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Cardiac Diagnostics Referral form (REFAP0010)
|
|
Date:
|
Friday, September 21, 2018
|
|
|
|
|
Summary:
|
This two page document is for patients who wish to be referred to the Cardiac Diagnostics Program at the Ajax – Pickering Site for Lakeridge Health
|
|
|
|
|
|
Cardiac Rehabilitation Program referral form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Cardiac Rehabilitation Program referral form
|
|
Date:
|
Wednesday, May 08, 2013
|
|
|
|
|
Summary:
|
This one page document is for patients who wish to be referred to the Cardiac Rehabilitation Program at Lakeridge Health
|
|
|
|
|
|
Cardio Respiratory Services Pulmonary Function Requisition
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Cardio Respiratory Services Pulmonary Function Requisition
|
|
Date:
|
Tuesday, June 28, 2016
|
|
|
|
|
Summary:
|
Cardio Respiratory Services Pulmonary Function Requisition
|
|
|
|
|
|
Central East Regional Cancer Program Patient Referral Form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Central East Regional Cancer Program Patient Referral Form
|
|
Date:
|
Wednesday, October 24, 2018
|
|
|
|
|
Summary:
|
Central East Regional Cancer Program Patient Referral Form
|
|
|
|
|
|
Central East Regional Cancer Program Thoracic Referral Form
|
Subject:
|
Referral Forms
|
View Document
Additional Details
|
|
Title:
|
Central East Regional Cancer Program Thoracic Referral Form
|
|
|
|
|
|
|
|
Summary:
|
The Thoracic Clinic and DAP will provide patients in the Central East LHIN with timely access to an interdisciplinary team. Members of the team include: thoracic surgeon, radiologist, pathologist, nurse navigator (RN) and other health disciplines. The Nurse Navigator will facilitate the plan of care.
|
|
|
|
|
